Aortic dissection in giant-cell arteritis.
Aortic dissection in giant-cell arteritis.
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巨细胞动脉炎的主动脉夹层。
DOI：
10.1016/s0049-0172(95)80028-x
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发表时间：
1995
影响因子：
5
通讯作者：
Brian K.Y. Chiu
中科院分区：
文献类型：
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作者：
Geoffrey Liu;Rachel Shupak;Brian K.Y. Chiu
本文回顾了23例巨细胞动脉炎合并主动脉夹层的病例，并报告了另一例。46%的患者表现为灾难性的主动脉夹层，既往无巨细胞动脉炎病史。80%的患者在事件发生后2周内死亡; 4名患者成功进行了手术移植。89%的病例弥漫性累及主动脉并伴有巨细胞，但85%的病例主要发生在近端主动脉。大多数有巨细胞动脉炎病史的病例在解剖时接受低剂量类固醇或未接受治疗，这些患者的中位红细胞沉降率为62 mm/h（范围21 - 98）。在77%的患者中发现了某种形式的高血压的证据，无论是急性还是慢性，轻度还是重度。巨细胞动脉炎治疗不充分和潜在的高血压（治疗或未治疗）是导致这些患者发生主动脉夹层的潜在因素。
Twenty-three cases of aortic dissection in patients with giant-cell arteritis are reviewed and an additional case is reported. Forty-six percent presented catastrophically with aortic dissection and no prior history of giant cell arteritis. Eighty percent died within 2 weeks of the event; four patients had successful surgical grafts. There was diffuse involvement of the aorta with giant cells in 89%, but dissecting tears occurred primarily in the proximal aorta in 85% of cases. The majority of cases with a preceding history of giant cell arteritis were on low doses of steroid or on no treatment at the time of dissection, and the median erythrocyte sedimentation rate of these patients was 62 mm/h (range 21–98). Evidence of some form of hypertension, whether acute or chronic, mild or severe, was found in 77% of patients. Inadequate treatment of giant-cell arteritis and underlying hypertension (treated or untreated) are potential factors leading to aortic dissection in these patients.
影响因子：
3.8
作者：
L. Bickerstaff;P. Pairolero;L. Hollier;L. J. Melton;H. J. Peenen;K. Cherry;J. Joyce;J. Lie
通讯作者：
L. Bickerstaff;P. Pairolero;L. Hollier;L. J. Melton;H. J. Peenen;K. Cherry;J. Joyce;J. Lie
美国南部的巨细胞动脉炎。
影响因子：
--
作者：
Gonzalez,EB;Varner,WT;Lisse,JR;Daniels,JC;Hokanson,JA
通讯作者：
Hokanson,JA